castration after 7 years of ADT - Advanced Prostate...

Advanced Prostate Cancer

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castration after 7 years of ADT

Roscoaus2000 profile image
18 Replies

I have been on Zoladex for nearly 7 years and am fully over any regrets of Chemical castration. My psa is now slowly rising and ghastly taken 2 years from undetectable to 0.65. I am considering surgical castration now as it would mean no more 3 monthly Zoladex injections and a reduced chemical load on my body. I am fit and well , 83 years of age, and no heart or diabetes problems.

Does anyone have any comment regarding possible medical complications?

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Roscoaus2000 profile image
Roscoaus2000
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18 Replies
spencoid2 profile image
spencoid2

do it get off any drugs you can. you can always supplement testosterone in the future if there is any reason to do so.

Roscoaus2000 profile image
Roscoaus2000 in reply to spencoid2

Thank that is my main motivation. It seems to be a simple and safe procedure.

addicted2cycling profile image
addicted2cycling in reply to Roscoaus2000

Urologist SAID that I needed to begin ADT Drugs immediately -- April 2015.

I told him - no drugs in my body so it's an Orchiectomy for me. Less than 24 hours later the Boys were gone. Done and no regrets.

DesertDaisy profile image
DesertDaisy

My husband had an orchiectomy in August. He has no regrets. He still has to take abiraterone and prednisone though.

dhccpa profile image
dhccpa in reply to DesertDaisy

How are his side effects compared to Lupron (if ever on it)? Or his SEs in general?

Thanks

DesertDaisy profile image
DesertDaisy in reply to dhccpa

He was on Eligard every 3 months. He had hot flashes while taking Eligard, but they weren't too bad. He really didn't have any other side effects except for muscle loss. The reason he did it was to have one less poison going into his body. He's happy he did it.

gsun profile image
gsun in reply to DesertDaisy

Did he get prosthetic testes?

DesertDaisy profile image
DesertDaisy in reply to gsun

No.

swwags profile image
swwags in reply to gsun

I did. Medicare covered it. Oncologist put me on Erleada because adrenals still produce testosterone. Hated that stuff. Switched to aberaterone and prednisone.

dhccpa profile image
dhccpa in reply to DesertDaisy

Thanks just finished 5 years on Lupron. I do like seeing my MO every 3 months so I can lobby him to consider BAT, estrogen gell, and other unorthodox things. But I follow the orchiectomy debate.

Roscoaus2000 profile image
Roscoaus2000 in reply to DesertDaisy

I realise that but at least there is one drug our if my body.

gsun profile image
gsun

I met with my uro yesterday to discuss just this. Going to wait for my next PSA test to make a decision.

LifeQuality profile image
LifeQuality

I considered orchiectomy several years ago, but was talked out of it by both my MO and urologist. But now I am reconsidering, and have been reviewing the posts online here -- there are many on this subject. The one "con" to keep in mind is that at your age (and mine--I'm 78) it might be minor surgery, but it's still surgery, and surgery always has the potential of complications (including infections).

Roscoaus2000 profile image
Roscoaus2000 in reply to LifeQuality

That is my only concern. I am healthy and have good qol now would hate to change that.

j-o-h-n profile image
j-o-h-n

If you do....you'll have to change your UserID to Roscoaus1998...

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 11/03/2023 8:10 PM DST Billy's gone

Roscoaus2000 profile image
Roscoaus2000

maybe 199= 1000-1/2-1/2!

dac500 profile image
dac500

I am same as as you. After 5 years of intermittent Lupron my metastatic prostate cancer is now castrate resistant as confirmed by rising PSA and new node on PSMA scan. My PSA increased from 0.3 to 0.8 in 3 months.

hanseunuch profile image
hanseunuch

Let do the castration only inguinal - thats my experience. Its better, when you will get an infection. Right i had an inguinal castration, and the wound burst after 10 days and the pus welled out and was healed close after some days. Here the pus couldnt flow down into the sac-shelf, because the doc hat sewed close the inguinal-canal.

my left egg the doc cut out directly from its sac-shelf. It would better heal - he meaned. But here the pus was collected in the sac-shelf, and after 12 days i went to the ER for riping open the wound and emptying the full baggy from pus with following 5 weeks drainage and spoiling. No pain very much but not so comfortably.

If your doc will insist to cut out your eggs directly from their sac-shelfs, than you should insist on a drainage, but into the lowest point of your sac!!! thereby the pus will flow out well already by gravity! Otherwise our sac-shelfs will be the best pus-collectors and pus-producers!! My drainage from the wound in the above region of the sac-shelf was silly made. But i laid at the table and the doc had made his work... additionally i was gladly, that the shit came out...and later first i found out the disadvantages...

A little mistake, but a long treated shit...

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